We all
know that we need to wash our face every day and to use sunscreen, but
when it comes to visiting a dermatologist, that's another story. We
asked Dr.
Michael Swann about choosing a dermatologist and when to go, as
well as skincare advice.

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With the new year, people
always make resolutions to take better care of themselves. What do you
recommend someone look for when finding a dermatologist?

Like any professional
relationship, you want to find someone who is capable and
well-trained, communicates well and meets your needs as a consumer.
Dermatologists vary in their focus with some focusing on skin cancer,
others focusing on medical dermatology or cosmetic dermatology.
Usually a good website and online reviews will tell you a lot about a
dermatologist's interests and personality.

When and how often should a
person visit a dermatologist?

Dermatologists are the top
of the pyramid for skin knowledge, so if you have a skin concern and
want the best advice, find a dermatologist who is an expert at your
concern.

If someone has a family
history of skin cancer or has new or changing moles or another skin
issue, they should consult a dermatologist, who will assess any need
for regular follow-ups.

Patients who have a
personal history of melanoma follow a schedule in my office of being
seen every 4 months for 3 years after diagnosis and then annually for
life. Patients with skin cancers or pre-cancers usually need evaluated
at least annually. Cosmetic concerns can be dealt with based on the
need. Swann Dermatology offers conservative Botox 3 times per year.
Filler products have different lifespans, so follow-up for
reassessment is based upon degradation times and of course the
patient's expectations.

If you have a reaction to a
skin care product or make-up, what course of action would you
recommend? An immediate doctor's visit? Wait it out?

Reactions to beauty
products or make-ups are common. When you have a reaction and can
identify the product, discontinue and protect the skin for 2 weeks.
Sometimes over the counter hydrocortisone 1% lotion can help speed
resolution of dry flaking skin from irritation or allergic reaction.
If things aren't getting better, consider consulting your
dermatologist for advice.

What products do you swear by
for better skin (face and body)? Does it change based on the season?

I swear by sunscreen,
moisturizer and growth factors. I do alter the weight of moisturizer
in the fall and winter, when temperatures and humidity drop. I love
EltaMD's UV Physical 41 tinted for face every day. It is a truly
physical, mineral sunscreen that reflects light. I use light
moisturizer like Skin Medica's Restorative Ointment during the spring
and summer, but move to something with a higher moisturizing factor in
the fall and winter, like Skin Medica's Dermal Repair Cream. Dermal
Repair should be used as a night cream and is excellent because it
also contains antioxidants. TNS Essential Serum is my secret weapon.
It has the richest density of naturally secreted growth factor you can
find and a clinically proven blend of skin brighteners, moisturizers
retinol and antioxidants.

Besides wearing sunscreen is
one skin care tip you think everyone should follow at any age?

Sunscreen is the most
important, but I think the biggest tip is learning about your skin.
All skin types aren't the same, so get to know your skin type.
Recommendations for one person's skin issue could actually exacerbate
another person's "problem area".

_____________________
Dr. Michael Swann is a fellowship trained Mohs surgeon whose primary
focus is to surgically remove skin cancers using the Mohs micrographic
surgery technique. He believes in a team-approach to helping his
patients achieve excellent results and has a thoroughly-trained staff
who focus on skin cancer, reconstruction and cosmetic procedural
dermatology. Click
here for more about Dr. Swann and his practice.